| NPI | 1063990927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN RHODES Owner 817-332-5500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |